Spasticity Management

Spasticity is a motor disorder characterized by a velocity-dependent increase in muscle tone resulting from hyperexcitability of the stretch reflex and is a common complication of acquired brain injury and spinal cord injury. Muscle spasticity contributes to impairments and disabilities that negatively impact functional recovery. The increased tone, weakness, and lack of coordination result in gait abnormalities and problems with functional arm use. In addition to functional limitations, spasticity, when not appropriately managed, may lead to reduced quality of life, increased pain, skin breakdown, and joint contractures. This chapter will address key concepts in the rehabilitative approach to early spasticity development.